A nurse is teaching a client who has a new prescription for diazepam. Which of the following information should the nurse include in the teaching?
Grapefruit juice inactivates this medication.
It is important to avoid foods that contain tyramine.
This medication must be swallowed whole.
Diazepam can cause drowsiness.
The Correct Answer is D
A. Grapefruit juice inactivates this medication - Grapefruit juice is known to interact with certain medications, but it does not affect the metabolism of diazepam. Therefore, this statement is incorrect.
B. It is important to avoid foods that contain tyramine - Tyramine is typically associated with interactions with monoamine oxidase inhibitors (MAOIs), not benzodiazepines like diazepam. Therefore, this statement is incorrect.
C. This medication must be swallowed whole - While it is generally recommended to swallow diazepam tablets whole with a full glass of water, this instruction does not encompass the full range of information necessary for safe medication use.
D. Diazepam can cause drowsiness - This statement is correct. Diazepam, like other benzodiazepines, has sedative effects and can cause drowsiness. Patients should be advised to avoid activities that require mental alertness, such as driving, until they know how the medication affects them. This is an essential aspect of patient education regarding diazepam.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Documents medication administration prior to administering it: Documenting medication administration before actually administering it is incorrect and can lead to errors in documentation. The nurse should document medication administration after ensuring the medication is given to the client.
B. Verifies the medication against the prescription and medication label: This is a correct action. The nurse should verify the medication against the prescription and medication label to ensure accuracy before administering it.
C. Checks the provider's orders and confirmed dosage in a medication reference guide: This is a correct action. The nurse should check the provider's orders and confirm the dosage in a reliable medication reference guide to ensure accuracy before administering the medication.
D. Scans the barcode on the medication administration record and the client's armband: This is a correct action. Scanning the barcode on the medication administration record and the client's armband helps ensure the "Five Rights" of medication administration: right patient, right medication, right dose, right route, and right time.
Correct Answer is ["50"]
Explanation
To calculate the volume of phenytoin oral solution to administer per dose, we'll use the formula:
Volume(mL)=Totaldoseneeded(mg)/Concentrationofthemedication(mg/mL)
Given: Total dose needed per dose = 250 mg
Concentration of phenytoin oral solution = 25 mg/5 mL
(which simplifies to 5 mg/mL)
Substituting the given values into the formula:
Volume(mL)=250 mg/5 mg/mL
Volume(mL)=50 mL
Rounded to the nearest whole number, the nurse should administer 50 mL of phenytoin oral solution per dose.
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